Individual provider Active NPI

Jasmine Singh, AGACNP-BC

  • Nurse Practitioner
  • Royal Oak, MI
National Provider Identifier
1235642919
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2017015746 Issued in MI
Practice address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone
(248) 898-4021
Fax
(248) 898-1473
NPI assigned
Nov 16, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 041.457606 IL
Nurse Practitioner 363L00000X 2017015746 MI Primary

Addresses

Primary practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

1 William Carls Dr Ste 100
Commerce Twp, MI 48382-2201
Phone (248) 937-4764

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsingh616577@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119002864 MI Practitioner - Nurse Practitioner 0042564585 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kensington Valley Heart, PCGroup PAC ID 7214283761, 4 clinicians

Practice addresses (Care Compare)

1435 N Milford Rd
Suite 201
Milford, MI 48381-1015
Phone (248) 676-8889

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.96
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041.457606ILMDNurse Practitioner
2017015746MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Canton Cardiology Associates PLLC CurrentSince Oct 19, 2018 Accepting new patients
VHS Physicians of Michigan CurrentSince Mar 16, 2020 Accepting new patients
Kensington Valley Heart, PC CurrentSince Jul 3, 2023 Accepting new patients

Locations

2050 N Haggerty Rd
Ste 120
Canton, MI 48187
Phone (734) 729-1900

2050 N Haggerty Rd
Ste B2
Canton, MI 48187
Phone (734) 326-0740

1 William Carls Dr
Ste 100
Commerce Twp, MI 48382
Phone (248) 937-4764

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

1435 N Milford Rd
Ste 201
Milford, MI 48381
Phone (248) 305-8707

3601 W 13 Mile Rd
Royal Oak, MI 48073

4020 Venoy Rd
Ste 200
Wayne, MI 48184
Phone (734) 729-1900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGFBBD
  • Direct secure messaging: jsingh616577@direct.beaumont.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235642919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-898-4021",
            "fax_number": "248-898-1473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 William Carls Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Commerce Twp",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "248-937-4764",
            "fax_number": "248-937-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JASMINE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041.457606",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "2017015746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsingh616577@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3601 W 13 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.